The author's note reads as follows: "Please be aware that this book contains violence and abuse, body horror, mass murder, toxic relationship dynamics, discussions of reproductive coercion, allusions to childhood sexual abuse, and references to miscarriage, domestic violence, sexual assault, and suicide." The protagonist is repeatedly referred to as a whore based on her polyamorous relationships and just generally because she is a powerful woman. The toxic relationship dynamics in question relate to the protagonist's marriage to a man who, based on the in-world magic system, has a lot of physical and psychological power over her. He is very controlling of her and frequently threatens to kill people she cares about. A character mentions that he was considered a pretty child when he was younger, and that his father would leave him alone in rooms with grown men, implying that they assaulted him or were otherwise inappropriate. A tertiary character escapes an abusive husband. He comes looking for her and excuses his physical abuse by claiming she hit him first. After further questioning, we find out that she hit him first because he was trying to force her to have sex with him. Throughout the book, many women are killed and mutilated in very sexualized ways, particularly having their breasts cut off.